| National Provider Identifier [NPI]: | 1235379082 |
| Last Name Of The Provider | LITTLE |
| First Name Of The Provider | BRENT |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 111 E 210TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | BRONX |
| Zip Code Of The Provider | 104672401 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 27 |
| Number Of Services | 7521 |
| Number Of Medicare Beneficiaries | 5220 |
| Total Submitted Charge Amount | 525420 |
| Total Medicare Allowed Amount | 172496.56 |
| Total Medicare Payment Amount | 130872.79 |
| Total Medicare Standardized Payment Amount | 135149.78 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 27 |
| Number Of Medical Services | 7521 |
| Number Of Medicare Beneficiaries With Medical Services | 5220 |
| Total Medical Submitted Charge Amount | 525420 |
| Total Medical Medicare Allowed Amount | 172496.56 |
| Total Medical Medicare Payment Amount | 130872.79 |
| Total Medical Medicare Standardized Payment Amount | 135149.78 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1182 |
| Number Of Beneficiaries Age 65 to 74 | 2005 |
| Number Of Beneficiaries Age 75 to 84 | 1409 |
| Number Of Beneficiaries Age Greater 84 | 624 |
| Number Of Female Beneficiaries | 2542 |
| Number Of Male Beneficiaries | 2678 |
| Number Of Non Hispanic White Beneficiaries | 3014 |
| Number Of Black or African American Beneficiaries | 1969 |
| Number Of AsianPacific Islander Beneficiaries | 79 |
| Number Of Hispanic Beneficiaries | 89 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3839 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1381 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 46 |
| Percent Of With Chronic Kidney Disease | 52 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.4359 |